Subbarayudu Koppera MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

35-049871 Issued in OH

Legal business name

SUBBARAYUDU KOPPERA MD

Practice address

7594 Ogden Woods Blvd
New Albany, OH 43054-9635

Phone

(740) 622-6474

NPI assigned

Sep 11, 2007

Last updated

Sep 11, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Subbarayudu Koppera, MD

Title

Owner

Phone

(740) 622-6474

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Subbarayudu Koppera MD, Inc

  • Nephrology Physician
  • New Albany, OH
  • NPI 1992991137
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1891980074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7594 OGDEN WOODS BLVD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549635",
            "telephone_number": "740-622-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7594 OGDEN WOODS BLVD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549635",
            "telephone_number": "740-622-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBBARAYUDU KOPPERA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "KOPPERA",
        "authorized_official_first_name": "SUBBARAYUDU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-622-6474",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35-049871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Stewart
• Suzannah Jean Stone, PHD
• Kyle Wesley Storc, PA-C
• Eli Stroh, RD
• Dawn Dilworth Strong, CRNA
• Subbarayudu Koppera MD, Inc
• Hunter M Sully, PHD
• Sunny Popsicle LLC (Sunny Pop Psychiatry)
• Elizabeth Swanger, LAC
• Jenna Swartzentruber

• Nephrology Physician in New Albany, OH
• Providers in New Albany, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.